| NPI | 1437795812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11015319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9309095) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 11015319) | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2022-04-24 |